Kobe Journal of Medical Sciences, 2000
A CASE OF ADENOMA OF THE AMPULLA OF VATER.
Shinsuke SATAKE, Nobuaki KAWARAYA, Morihito OKADA, Keiichiro KUJIME, Hajime YAMAMOTO, Shunjiro YAZUMI,and Yoshiki NISHIDA**
Department of Surgery, Gastroenterology* and Radiology**, National Hyogo Chuo Hospital, Ohara 1314, Sanda City 669-1515, Japan
Kobe J. Med. Sci. 46, 33-38, April 2000
AB: A case of adenoma of the ampulla of Vater is presented in a 48-year-old man who was admitted with epigastric pain. Gastroendoscopy revealed a sessile tumor about 3 cm in diameter at the ampulla of Vater, and the pathological diagnosis of a biopsy specimen was adenoma with moderate atypia. Because of the possibility of a malignant component, pylorus-preserving pancreatoduodenectomy was performed to avoid local recurrence. The final pathological diagnosis was adenoma with severe atypia.